10A NCAC 09 .0803 · Violation

Name of Operation: CARE-O-WORLD EARLY LEARNING CENTER OF CHOCOWINITY Facility ID: 07000221 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 41 Completed Date: 4/2/2025 Age: From 0 To 5 Total Minutes: 326 Time In: 08:34 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for. W. Godley, Director of Operations, assisted during the visit. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point: Has a staff benefits package and Infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The sanitation inspection was completed on 3/3/25 with a “Superior” classification. The last fire inspection was conducted 3/26/25 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent as of 3/31/25. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit and all information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. The NC Secretary of State website was reviewed on 3/31/25 and PBLA, INC. was listed as current- active. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Your program was also monitored for compliance with implementing an approved curriculum, The Creative Curriculum, as required for all four and five star licensed facilities where four-year-old children are enrolled. The current NC Pre-K staff are lead teacher, A. Felton and long-term sub, J. Anaya. A selection of files were monitored for completed health assessments and developmental screenings. The program uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. Parent conferences are held three times per year. You stated that you use the procare app, monthly newsletters, when children are dropped off and picked up, and phone calls to communicate with parents any information about the child’s day and any reminders. The environment rating scale score received on 6/2/23 was 5.57. You visited each indoor and outdoor space with me. In space #1, Infants and young toddlers received individual needs including tummy time, diapering, and bottle feeding. In space #2, #3, and #4, children were engaged in free play in activity areas, transitions, and personal care routines. Children from space #5 and #6 were engaged in outdoor activities. The outdoors included stationary climbers, ride on toys, balls, swings, storage for other materials. Lunch was observed and consisted of chicken bacon ranch wrap, sweet potatoes, apple slices, whole grain tortilla, and milk. The following violation(s) were documented. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #6, the outlet located under the window was not covered with a safety plug. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1, there was one (1) child with an Ventolin inhaler on file without written permission from parent. 10A NCAC 09 .0803(1)(a & b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/16/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. There is always a risk that a child may have a negative reaction to a medication, and children should be monitored for serious side effects that may require an emergency response. Authorization periods for administering emergency medications are only valid for six months at a time. In space #1, there was one (1) children with an Ventolin inhaler on file without written permission from parent. Staff stated they had a authorization form but they did not know what happened to it. We discussed assigning one person to accept and review all medications and forms before they are received by the classroom. We also discussed having that same person do monthly checks of medication. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, Lead-Based Paint and Asbestos testing. North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. We discussed ECERS-3, online trainings, and more resources available about ECERS-3. They can be found at NCRLAP.org. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor, contact 1-888-600-1685 option 1. The Beaufort-Hyde Partnership for Children is also able to provide you with resources, information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .3009 · Violation

Name of Operation: CARE-O-WORLD EARLY LEARNING CENTER OF CHOCOWINITY Facility ID: 07000221 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 41 Completed Date: 4/2/2025 Age: From 0 To 5 Total Minutes: 326 Time In: 08:34 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for. W. Godley, Director of Operations, assisted during the visit. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point: Has a staff benefits package and Infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The sanitation inspection was completed on 3/3/25 with a “Superior” classification. The last fire inspection was conducted 3/26/25 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent as of 3/31/25. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit and all information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. The NC Secretary of State website was reviewed on 3/31/25 and PBLA, INC. was listed as current- active. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Your program was also monitored for compliance with implementing an approved curriculum, The Creative Curriculum, as required for all four and five star licensed facilities where four-year-old children are enrolled. The current NC Pre-K staff are lead teacher, A. Felton and long-term sub, J. Anaya. A selection of files were monitored for completed health assessments and developmental screenings. The program uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. Parent conferences are held three times per year. You stated that you use the procare app, monthly newsletters, when children are dropped off and picked up, and phone calls to communicate with parents any information about the child’s day and any reminders. The environment rating scale score received on 6/2/23 was 5.57. You visited each indoor and outdoor space with me. In space #1, Infants and young toddlers received individual needs including tummy time, diapering, and bottle feeding. In space #2, #3, and #4, children were engaged in free play in activity areas, transitions, and personal care routines. Children from space #5 and #6 were engaged in outdoor activities. The outdoors included stationary climbers, ride on toys, balls, swings, storage for other materials. Lunch was observed and consisted of chicken bacon ranch wrap, sweet potatoes, apple slices, whole grain tortilla, and milk. The following violation(s) were documented. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #6, the outlet located under the window was not covered with a safety plug. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1, there was one (1) child with an Ventolin inhaler on file without written permission from parent. 10A NCAC 09 .0803(1)(a & b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/16/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. There is always a risk that a child may have a negative reaction to a medication, and children should be monitored for serious side effects that may require an emergency response. Authorization periods for administering emergency medications are only valid for six months at a time. In space #1, there was one (1) children with an Ventolin inhaler on file without written permission from parent. Staff stated they had a authorization form but they did not know what happened to it. We discussed assigning one person to accept and review all medications and forms before they are received by the classroom. We also discussed having that same person do monthly checks of medication. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, Lead-Based Paint and Asbestos testing. North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. We discussed ECERS-3, online trainings, and more resources available about ECERS-3. They can be found at NCRLAP.org. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor, contact 1-888-600-1685 option 1. The Beaufort-Hyde Partnership for Children is also able to provide you with resources, information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: CARE-O-WORLD EARLY LEARNING CENTER OF CHOCOWINITY Facility ID: 07000221 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 41 Completed Date: 4/2/2025 Age: From 0 To 5 Total Minutes: 326 Time In: 08:34 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in spaces #1, where children participating in the NC Pre-K program are cared for. W. Godley, Director of Operations, assisted during the visit. Your program currently operates with a five-star license, issued 6/2/23, earning 7 points in the education component, 6 points in the program standards component and 1 quality point: Has a staff benefits package and Infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The sanitation inspection was completed on 3/3/25 with a “Superior” classification. The last fire inspection was conducted 3/26/25 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent as of 3/31/25. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit and all information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. The NC Secretary of State website was reviewed on 3/31/25 and PBLA, INC. was listed as current- active. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Your program was also monitored for compliance with implementing an approved curriculum, The Creative Curriculum, as required for all four and five star licensed facilities where four-year-old children are enrolled. The current NC Pre-K staff are lead teacher, A. Felton and long-term sub, J. Anaya. A selection of files were monitored for completed health assessments and developmental screenings. The program uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. Parent conferences are held three times per year. You stated that you use the procare app, monthly newsletters, when children are dropped off and picked up, and phone calls to communicate with parents any information about the child’s day and any reminders. The environment rating scale score received on 6/2/23 was 5.57. You visited each indoor and outdoor space with me. In space #1, Infants and young toddlers received individual needs including tummy time, diapering, and bottle feeding. In space #2, #3, and #4, children were engaged in free play in activity areas, transitions, and personal care routines. Children from space #5 and #6 were engaged in outdoor activities. The outdoors included stationary climbers, ride on toys, balls, swings, storage for other materials. Lunch was observed and consisted of chicken bacon ranch wrap, sweet potatoes, apple slices, whole grain tortilla, and milk. The following violation(s) were documented. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #6, the outlet located under the window was not covered with a safety plug. 10A NCAC 09 .0604(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1, there was one (1) child with an Ventolin inhaler on file without written permission from parent. 10A NCAC 09 .0803(1)(a & b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/16/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. There is always a risk that a child may have a negative reaction to a medication, and children should be monitored for serious side effects that may require an emergency response. Authorization periods for administering emergency medications are only valid for six months at a time. In space #1, there was one (1) children with an Ventolin inhaler on file without written permission from parent. Staff stated they had a authorization form but they did not know what happened to it. We discussed assigning one person to accept and review all medications and forms before they are received by the classroom. We also discussed having that same person do monthly checks of medication. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water, Lead-Based Paint and Asbestos testing. North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. We discussed ECERS-3, online trainings, and more resources available about ECERS-3. They can be found at NCRLAP.org. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor, contact 1-888-600-1685 option 1. The Beaufort-Hyde Partnership for Children is also able to provide you with resources, information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 975-4647 or check out their website at www.bhckids.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.